Cigarette smoking and irreversible airways obstruction in the West Indies

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Miller, G. J. (1974).Thorax, 495-504. Cigarette smoking and irreversible airways obstruction in the West Indies. Two communities, one in Jamaica and one in Guyana, have been surveyed in order to investigate the relationships between cigarette smoking, respiratory symptoms, and lung function in the West Indies. Cigarette consumption was less than that reported in the United Kingdom, particularly among women. Smoking was associated with cough, phlegm, increases in total lung capacity and residual volume, and reductions in FEV%, transfer coefficient (Kco), and alveolar capillary blood volume (Vc). Vital capacity (VC) and the diffusion capacity of the alveolar membrane (Dm) were normal. After allowing for differences in age and tobacco consumption, less cough, phlegm, and airways obstruction occurred in the West Indies than has been reported in the United Kingdom.

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